# FOUNDATIONAL HEALTH RESTORATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841879145
- **Authorized official:** DR. MELINDA-ANN B ROTH M.D. (SOLE MEMBER)
- **Authorized official phone:** (410) 833-8205

## Contact information

- **Practice address:** 540 JERMOR LN STE A, WESTMINSTER, MD 21157-6490
- **Practice address phone:** (443) 300-6367
- **Practice address fax:** (443) 300-6367
- **Mailing address:** 644 COCKEYS MILL RD, REISTERSTOWN, MD 21136-5116
- **Mailing address phone:** (410) 833-8205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/05/2021
- **Last updated:** 08/16/2024